Aimee Adams
Fort Collins,CO
Summary
Dynamic Senior Managed Care Contract Consultant with a proven track record at Banner Health, adept in legal compliance and risk auditing. Spearheaded high-stakes negotiations and strategic planning, resulting in over 100 MVP awards and significant process improvements. Excelled in mentoring staff, enhancing stakeholder relations, and achieving a notable increase in operational efficiency.
Overview
24
24
years of professional experience
Work History
Senior Managed Care Contract Consultant
Banner Health
05.2022 - 08.2024
- Managed top revenue Insurance Company Payer and Value Agreements in Colorado, including Anthem, Cigna, Aetna, Kaiser, and United
- Drafted, reviewed, analyzed, and negotiated 35-55 agreements and amendments annually for six years for Banner Western Region, covering Managed Care, POC, Value, and Vendor Agreements
- Spearheaded projects addressing contract issues, collaborating closely with legal and leadership to minimize risk
- Independently resolved operational and contract issues through collaboration with internal and external partners
- Co-led Payer JOC calls and Anthem's Claims Call, managing contract matters for Anthem claims valued at $6 million yearly, and acted as the key communicator in resolving contract payment issues
- Consistently achieved 'Exceeds Expectations' ratings and maximum raises on annual performance reviews
- Recognized with over 100 'Most Valuable Player' awards from internal customers, including a VP and CEO for high-stakes agreements, received a Departmental Award for internal training/talent development
- Managed all contracting aspects for over 20 Colorado payers, including Commercial, FFS, Value, Capitation, Delegation, Vendor, Internal Business, and MA Agreements
- Developed tools and systems to improve internal efficiency and contributed to internal inquiries on Colorado payer parity, strategy, and market share
- Provided data and confirmed contractual language for payer financial modeling, and led financial collaboration calls to discuss rates for hospital, professional, and ancillary service lines
- Participated in reconciliation processes for value contracting, including appeals and contract language adherence
- Worked with CBO, PBO, and ancillary teams on AR for Anthem's HART/PRIME/Claims resolution process, directly assisting the CBO in recovering unpaid claims and resolving issues amounting to millions of dollars over six years
- Represented the organization in payer contracting matters during JOC's and internal inquiries, and managed review and reconciliation processes and disputes of value measure payment decisions by payers
- Co-led the Managed Care Event Committee, organizing and managing numerous internal team events
Senior Contract Manager Specialist
Banner Health
Greeley, Colorado
07.2018 - 05.2022
- Negotiated and drafted contracts, reviewed legal documents, and ensured compliance with organizational standards.
- Developed contract templates and processes to streamline contracting procedures.
- Monitored contractual performance to ensure timely completion of deliverables.
- Resolved disputes between parties by analyzing relevant information and determining appropriate solutions.
- Managed the renewal process for expiring contracts, including negotiating new terms as needed.
- Ensured all changes to existing contracts were documented and approved in accordance with established policies.
- Conducted training sessions on contract management principles for staff members.
- Maintained accurate records of all contracts in the organization's database system.
- Analyzed financial data related to contracts to ensure accuracy of payments made and received.
- Audited existing contracts for completeness and accuracy prior to signing or renewing them.
- Assisted in developing strategies for mitigating contractual risk exposure within the organization.
- Provided guidance on contractual matters such as dispute resolution, termination clauses.
- Developed standard operating procedures related to contract management activities.
- Participated in meetings with senior-level executives regarding strategic initiatives involving contracted services or goods delivery timelines, quantities..
Paralegal/Case Manager
The Bourassa Law Group
01.2016 - 01.2017
- Managed 65-80 cases, maintaining files and contracts
- Provided excellent customer service
- Exhibited strong verbal and written communication skills
- Collaborated with colleagues and clients
- Navigated difficult client situations, providing support
- Coordinated treatment for clients
- Drafted correspondence, legal claims, and final demand packages
- Utilized research, database management, software knowledge, and organizational skills
- Increased settlements by 25-40% through strong negotiation skills and effective problem-solving
- Expedited results in reducing medical bills and resolving issues with Medicaid/Medicare, medical providers, attorneys, and automobile services
- Supported frustrated clients, ensuring efficient issue resolution with high empathy and emotional intelligence
- Recognized for excellent customer service, demonstrating strong interpersonal skills, active listening, and resourcefulness
- Enhanced case outcomes through effective research and database management, showcasing attention to detail and critical thinking
Trainer, Writer, Development
Agency Protection Legal Colorado & Wyoming
01.2016 - 12.2016
- Wrote and Developed a two-hour seminar on legal aspects of identity protection in real estate transactions
- Trained over 700 Real Estate Agents
- Seminar endorsed by Colorado and Wyoming Real Estate Boards
- Created curriculum and workbook on identity theft in real estate transactions
- Emphasized proactive system implementation, short and long-term evaluation
- Highlighted potential liability and responsibility to clients
Co-Manager
Walmart
Loveland, USA
01.2014 - 01.2016
- Trained, supervised, and mentored a crew of 150-200 associates and eight Assistant Managers
- Facilitated promotions of several associates into higher-paying, more powerful positions
- Performed risk management, compliance, human resources, supply chain, OSHA, contracts, financial analysis, and day-to-day operations duties
- Conducted inventory duties, deploying a nightly unload crew of 30 and a night crew of 75-100
- Awarded significant promotion early in tenure for outstanding customer service, team success, and development of a healthy and profitable working environment
- Increased sales noted to store by 2% and customer traffic by 2% during tenure
- Recognized for excellent customer service and team success
Contracts Manager & Legal Analyst
Robert Half Legal
Denver, USA
01.2013 - 01.2014
- Drafted, reviewed, and negotiated contracts
- Built long-term client relationships
- Collaborated with businesses like Goodwill Industries of Denver
- Executed new contract requests with VP of Finance
- Performed contract audits for compliance
- Maintained consistency in contracting and identified vulnerabilities
Legal Analyst
Clayton Financial Services
Denver, USA
01.2012 - 12.2012
- Conducted 13 intensive reviews weekly
- Performed legal research and bankruptcy assessments
- Managed mortgage reviews during SEC investigation
- Utilized LPS, DLV, and PACER systems for secure information management
Senior Legal Analyst
Promontory Financial Risk Review
Denver, USA
01.2011 - 12.2012
- Member of elite team for SEC investigation
- Managed bankruptcy law reviews and mortgage evaluations
- Supported compliance operations and developed lender review processes
Contract Management, Sales, Executive Operations
Alpine Demolition & Recycling
Arvada, USA
01.2009 - 12.2010
- Sold, drafted, and executed high-value contracts
- Won bid proposals for major projects like Kodak and Colorado Justice Center
- Scheduled crews and designated equipment for multiple jobs
- Coordinated trucking, debris disposal, and subcontractor hiring
- Negotiated terms, acquired insurance, and permits for projects
- Oversaw resource allocation and budget
Bankruptcy and Criminal Defense Research Assistant
Law Office of Robert Rand
Fort Collins, USA
01.2009 - 12.2009
- Provided client services and drafted bankruptcy documents
- Conducted investigations and developed defense case theory
Entrepreneur/Contract & Business Law
Doc Star Solutions
01.2004 - 12.2009
- Owned and operated a legal document template source
- Developed contracts and consulted with small-medium businesses
Associate Attorney
Anderson Law Group & Sound Law Group
Colorado
01.2001 - 01.2004
- Sole Associate hired to form the Litigation Department with one Partner
- Managed over 100 cases, achieving $300,000 in annual billable hours
- Practice focus areas: corporate litigation, contracts, real estate, personal injury, and more
- Responsible for initial consultations, firm contract execution, client communications, case management, strategy development, billing, negotiations, and internal reporting
- Drafted, submitted, and acquired US trademarks and patents
- Fulfilled discovery for civil litigation, conducted depositions, drafted offer/counter-offer correspondence
- Appeared for mediation, arbitration, trial, and handled remuneration
- Sought and obtained 10-20 long-term clients as business counsel, performing contract and collection work at agreed-upon rates
Education
JURIS DOCTORATE -
Seattle University School of Law
Seattle, WABFA - Theater
Stephens College
Columbia, MOSkills
- Proposal Writing
- Legal Compliance
- Risk auditing
- Quality assurance and control
- Staff Mentoring
- Planning and execution
- Strategy realignment
- Cost Reduction
- Business Analysis
- Customer Service Management
- Solution Implementation
- Training and mentoring
- Training proficiency
- Stakeholder Relations
- Presentation Skills
- Project Management
- Business Planning
- Organizational Development
- Revenue Generation
- Process Improvement
- Contracting enhancement
- Operations Management
- Continuous Improvement
- Strategic Planning
- Data Analytics
- Performance Improvement
- Report Preparation
- Account Retention
- Negotiation competency
Timeline
Senior Managed Care Contract Consultant
Banner Health
05.2022 - 08.2024
Senior Contract Manager Specialist
Banner Health
07.2018 - 05.2022
Paralegal/Case Manager
The Bourassa Law Group
01.2016 - 01.2017
Trainer, Writer, Development
Agency Protection Legal Colorado & Wyoming
01.2016 - 12.2016
Co-Manager
Walmart
01.2014 - 01.2016
Contracts Manager & Legal Analyst
Robert Half Legal
01.2013 - 01.2014
Legal Analyst
Clayton Financial Services
01.2012 - 12.2012
Senior Legal Analyst
Promontory Financial Risk Review
01.2011 - 12.2012
Contract Management, Sales, Executive Operations
Alpine Demolition & Recycling
01.2009 - 12.2010
Bankruptcy and Criminal Defense Research Assistant
Law Office of Robert Rand
01.2009 - 12.2009
Entrepreneur/Contract & Business Law
Doc Star Solutions
01.2004 - 12.2009
Associate Attorney
Anderson Law Group & Sound Law Group
01.2001 - 01.2004
JURIS DOCTORATE -
Seattle University School of Law
BFA - Theater
Stephens College